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首页 > 学术期刊 > 国际眼科杂志 > 2001年4期 > 黄斑裂孔第3、4期視網膜内界膜染色舆剥除的前瞻性研究

黄斑裂孔第3、4期視網膜内界膜染色舆剥除的前瞻性研究

A prospective study of staining and removal of retinal internal limiting membrane in stages 3 and 4 macular holes

目的 爲了確定用吲哚青綠介導特發性黄斑裂孔第3、4期視網膜内界膜剥除手術的解剖和視覺效果.方法連績研究3～4期特發性黄斑裂孔病人28例28祗眼.所有眼都施行平部玻璃體次全切除術,必要時清除後部玻璃體及任何可見的視網膜前膜.將濃度爲每毫升0.25mg至1.25mg的ICG溶液緩慢地注入到黄斑,待浸漬時停止.内界膜被染色,距黄斑裂孔邊緣1～2個視盤直徑環行剥除内界膜.手術結束時使用12%Perfluoropropane(C3F8)氣體.術後病人需要保持面朝下2周.結果 隨訪時間爲6～14個月,平均9.5個月.14祗眼(50%)為黄斑裂孔第4期,另14祗眼(50%)爲黄斑裂孔第3期.11祗眼(39.3%)爲1年以上的慢性黄斑裂孔.最後隨訪時25祗眼(89.3%)解剖復位,黄斑裂孔閉合.其中21祗眼(75%)黄斑裂孔封閉,另4眼(14.3%)黄斑裂孔變平.18祗眼(64.3%)視力提高兩行或兩行以上.視力平均提高2.6行(範圍2～7行).非慢性裂孔和慢性裂孔分别提高3.4行和1.4行.經統計學處理,兩組間具有顯著性差异(P=0.031).結論 ICG介導視網膜内界膜剥除在封閉特發性黄斑裂孔第3～4期中是很有幫助的.

作 者：
郭坤豪 賀澤烽  
作者单位：
郭坤豪(中國香港中文大學眼科及視覺科學學系及香港眼科醫院;香港瑪麗醫院眼科)
賀澤烽(中國香港東華東院眼科部) 
刊 名：
美中国际眼科杂志  ISTIC
英文刊名：
U.S. CHINESE JOURNAL OF OPHTHALMOLOGY 
年，卷(期)：
2001 1(4) 
分类号：
R77 
关键词：
吲哚青綠 知识脉络  内界膜 知识脉络  黄斑裂孔期 知识脉络  Indocyanine green Internal limiting membrane Macular hole Stage 知识脉络 
机标分类号：
R77 R81 
机标关键词：
黄斑裂孔視網膜内界膜染色内界膜剥除前瞻性研究internal limiting membranevisual acuitymacular holepars plana vitrectomyepiretinal membraneindocyanine greenvisual outcome吲哚青綠隨訪解剖次全切除玻璃病人性差异溶液 
基金项目：
 
DOI：
 
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